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Blood sugar gone crazy, please help!

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#1
wife10

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Hello everyone, Im new to this forum, I've been reading a lot but can't find the answers, I hope you can help. My husband is a type 2 diabetic, for the past 2 weeks he's been very ill, nausea & vomiting. His blood sugar is gone crazy. He was 10 years old when he was first diagnosed. He is 43 now. He's taking insulin shots lantus 20 units everyday and humulog 5-15 units depending on what he eats. He's having nausea, stomach ache and vomiting. Because of this he's not been eating and at one point I rushed him to the hospital for dehydration. Went for endoscopy today to check the stomach and found that he is dehydrated again, although he's trying very hard to drink 2 glasses of water daily. Measured his blood sugar at 267, he took 10 units of humulog and after an hour the number is 266 (not much) whats happening? He's body is not responding. Please help.:confused:

#2
Real4

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It is very usual for blood glucose reading to rise during illness. The body is reacting properly - supplying more energy in the form of glucose when the system is weaken by sickness. Unfortunately, that bodily response does not work out too well when you are diabetic.

Generally, the only thing you can due beyond treating the illness is to test and CORRECT often. You don't want to be too agressive in driving the glucose level down because of the danger of an hypoglycemic episode. That is more worrisome that a few days of somewhat high BG levels.

The best of luck to your husband and Happy New Year!

#3
mazea

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If the numbers remain high for a few days and I couldn't bring them down, my diabetes educator told me to go to hospital. I would recommend going to hospital as being 267 for a long period of time can lead to ketoacidosis ( symptoms include vomiting rapid beathing dehydration abdominal pain) and kidney damage. Ketoacidosis starts when the blood sugar levels are high and the body breaks down the fat for energy causing the blood to become acidic. I think you are suppose to drink 3L of water if you are a diabetic( correct me if I'm wrong anyone) a day.

I hope you can get to see a doctor soon. It sounds like your husband is having an awful time.
Borderline blood fasting test in 2006
HBA1c 15 in May 2008
HBA1c 5.6 in October 2008
HBA1c 4.8 in May 2009
HBA1c 5.4 in September 2009
HBAC1 7.9 in June 2010
Type 1.5 since May 2008

#4
SueM

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Has he upped his basal? This would help as well.
But he really does need to see a Dr to find out what is going on.
Have you checked the insulin too? Changed vials?
Sue
Pumping using bovine insulin. (Pump kindly donated by Solox)

#5
CountYourselfIn

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2 glasses of water isn't enough to hydrate a dog.

Human beings need 1L of water, per day, per 25kg of body weight.

That's 55lbs.

The 2l per day only applies to slimmer than average women. Men have different hydration needs.

Lay off the diet soda, increase the water.

Also, adequate hydration will bring his BG numbers down. Fast.

#6
wife10

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Yes he is having a dreadful time. One of the problem is, there are times that when he takes his medicine (antibiotic, anti-acid, anti-nausea, high blood pressure), his stomach reacts on it and he vomits, water comes right back. sometimes he was able to keep it down. sometimes when he simply drink water without meds it also comes right back. the past two days he is also poopin more than usual. for the past two weeks, he eats 2-3 spoons clear soup or light cream soup and thats it....sometimes he can keep it down, but if he's having a terrible nausea, it comes right back. so far we have seen few doctors, he stayed in the hospital for 3 days, during this time he was on IV fluids. while in the hospital his symptoms of nausea, vomiting and stomach pain was still there. there were times that he is alright for a few hours, but when they administer medication, he would start the nausea and vomiting again. we are going to see his primary doctor today. I don't know what kind of test my husband should have to be able to know whats really happening, please help.

#7
fgummett

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First thing he needs is some way to calm the nausea, or you are fighting an uphill battle. If that requires an injection or hospitalisation for IV fluids so be it, but while he is unable to eat or drink you can make little headway.

Are you sure he is Type 2..? Diagnosed aged 10 sounds more like Type 1... it makes a big difference in this situation as Diabetic KetoAcidosis (DKA) is a real concern with Type 1, and another reason to seek professional medical help early.

Good luck.

Cream soups are not ideal during nausea... clear fluids only. Some folks find fizzy pop like Ginger Ale easier to manage... keep testing his Blood Glucose (BG) levels.

#8
EeyoreButterfly

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I'm going to echo Fgummet: Are you sure he is Type 2 and not Type 1. Diagnosed at 10, not to mention the units of insulin he is taking are more in line with a type 1 than type 2 from what I have seen here.

I don't use insulin so I can't really help you, but it sounds like you need to get him to a doctor to be safe.
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#9
mazea

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I hope that the doctor is able to help and maybe even seeing an endocrinologist would be good. I wouldn't worry about being type 1 or type 2 just now as he is on insulin (same treatment for type 1)and diabetic ketoacidois can effect both type 1 and type 2 when the beta cells are depleted in both. You can worry about that later. He is on insulin which is good.

I would like to note that my doctor put me on some 2 medications when I was first diagnosed with type 1 because they didn't know whether I had type 1 or 2. One medication called diamicron put my blood sugar crazily up. I don't know if that applies but I thought I'd mention it.

I really think your husband needs to be in hospital as it sounds like he can't control the diabetes at the moment and could be having ketoacidosis problems. Ketoacidois is very dangerous so don't hesitate going to hospital if you feel the need to.

It sounds like there is more than diabetes going on with your husband. I hope that you are able to find answers soon.
Borderline blood fasting test in 2006
HBA1c 15 in May 2008
HBA1c 5.6 in October 2008
HBA1c 4.8 in May 2009
HBA1c 5.4 in September 2009
HBAC1 7.9 in June 2010
Type 1.5 since May 2008

#10
wife10

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Thanks very much for all your input. Wow now I'm not really sure if he is type 1 or 2. The thing is he is using Lantus (Insulin) and I found out that type 2 diabetes uses Lantus. Although Type 1 does start very early in age.

How do you find out either type 1 or 2?

We saw his primary doctor this morning, thank God, because last week she cancelled on us, it's been really rough for us. After the Dr. saw my husband, checked him out and review the records, sure enough.......she wants him in the hospital. So today me and my husband had our New Year in the hospital.

I believe there is more to diabetes as well. Their doing a lot of tests on him.

The need for endocronologist...why is that? can someone please explain.

Thanks and Happy New Year everyone.
God Bless You!

#11
mazea

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To find out if you are type 1 or type 2 doctors use a few different tests. Antibody test, C-peptide test, amount of insulin might indicate whether your husband has insulin resistance.

One test is an antibody test, but I have heard it doesn't show up in all people because all the antibodies haven't been discovered yet. I'm type 1 but I don't have antibodies. Iv'e heard the antibody test may not show up antibodies if youve had diabetes for a long time but don't know if this is true. Antibodies don't show up if your a type 2 or Mody.

Another test that can help investigate whether you are type 1 or 2 is a c-peptide test. If the C peptide test is low it indicates there are not many beta cells and can indicate Type 1. If the C peptide test it in the middle it might indicate Mody. If the C peptide test is high it might indicate Type 2.

The amount of insulin you use might also indicate type 1or 2. Type 2's sometimes require more insulin per unit of carb than type 1 because of insulin resistance.

Also if your husband was overweight or didn't have weight loss when he was diagnosed is can be indicative of type 2. If he was underweight when diagnosed and had weight loss it is likely to be type 1.

It is very unusual for a type 2 to be diagnosed at 10, most 10year olds with diabetes are diagnosed with type1.

An endocrinologist specialises in diabetes. They are useful to see because they are specialists and can manage your diabetes better than a doctor can.
Borderline blood fasting test in 2006
HBA1c 15 in May 2008
HBA1c 5.6 in October 2008
HBA1c 4.8 in May 2009
HBA1c 5.4 in September 2009
HBAC1 7.9 in June 2010
Type 1.5 since May 2008

#12
alicat61

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:) Hi wife10,
I'm pleased to hear that your husband is going to get checked out by an Endocrinologist, Hopefully they will sort out what is causing your husband's problems.
Please keep us informed.
Don't be afraid of asking lots of questions




Take care from Alicat61:)

On 5th May 2010 had a Lap Band fitted
Has changed my life
Humalog only if needed. (BGL above 6mmols)
Lantus daily
Metformin 1gm 3x a day
Propranalol 40 mgs 2 x a day

#13
wife10

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Thank you. So far with all the tests done to him they haven't found anything abnormal. Once the blood sugar was in control I noticed that his body tend to respond better. Yesterday was the only day that he did not vomit and the doctor ordered to give him a clear diet, so far so good, he was able to keep down.

#14
shiftzor

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Are you sure he is Type 2..? Diagnosed aged 10 sounds more like Type 1... it makes a big difference in this situation as Diabetic KetoAcidosis (DKA) is a real concern with Type 1, and another reason to seek professional medical help early.

Good luck.
...


After 33 years as a type 2 diabetic it’s more than likely his pancreas has given up the ghost. Remember we all get to the same end point although he was young at diagnosis I don't think age is such a good indicator anymore. Having said that it maybe be worth double checking the original diagnosis to make sure that he is a type 2 and not a misdiagnosis. A correct diagnosis is very important in getting the right treatment. Doctors are far more aware than they were 33 years ago and there are many “types” of diabetes, e.g. mody, lada, type 1 etc.

Chances are that if he had any GAD 65 antibodies then they will be gone if his pancreas has given up completely. A C-peptide test might be in order, showing his pancreas activity. I am no doctor though so I guess that would be up to them :D.

Good luck

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CGMS coming soon...


#15
UpNorth

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Bit old post but thought I'd send a reply anyways...
I too think it's more likely he's T1 since he's had diabetes since age 10. Type 1 is the most common for kids to get if they get diabetes. Type 2 among children is very rare too for that matter...
Has your husband been checked for Ketones while being that sick? My first thought when i first read this thread was "Hmmm diabetic since age 10, dehydrated, nausea and vomiting- possible DKA!"
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MDI: Novorapid and Levemir with Novopen4

Main BG meter: Accu-Chek Compact Plus




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